大型非形结直肠息肉的内镜切除:当前的治疗标准
Mahsa Taghiakbari1,2, Dong Hyun Danny Kim3, Roupen Djinbachian1
1Montreal University Hospital Research Center, Montreal, Quebec, Canada.
eGastroenterology
|February 13, 2025
概括
大型非形结肠直肠多会增加癌症风险. 本综述详细介绍了内镜切除技术,包括陷多重切除术,内镜粘膜切除和内镜亚粘膜切割,以有效地管理这些息肉.
科学领域:
- 胃肠病学和内镜检查
- 手术瘤学手术瘤学
- 公共卫生 公共卫生
背景情况:
- 结肠直肠癌仍然是一个主要的公共卫生问题.
- 大型非形结直肠多与恶性瘤和不完全切除有关,可能导致间隔癌症.
- 切除技术的选择取决于多的特征和内镜师的技能.
研究的目的:
- 为了提供一个全面的文献审查当前的内镜切除技术的大型非踏脚结直肠多.
- 强调各种内镜切除方法的指示,优势,局限性和结果.
- 为管理这些具有挑战性的多重体提供临床决策的信息.
主要方法:
- 对有关内镜切除技术的现有文献进行系统审查.
- 分析影响技术选择的因素 (多体大小,形态,位置,入侵深度,专业知识).
- 传统的热/冷陷多角切除术,内镜粘膜切除 (EMR) 和内镜亚粘膜切除 (ESD) 的比较.
主要成果:
- 有各种各样的内镜技术可用于非手术切除表面的大型非脚型息肉.
- 每种技术 (诱多面切除术,EMR,ESD) 都有特定的适应症,好处和缺点.
- 结果受到多的特征和所选择的内镜方法的影响.
结论:
- 内镜切除是管理大型非形结肠直肠多的一个关键策略.
- 适当的技术选择对于最大限度地提高疗效和最大限度地降低不完整切除和间隔癌症等风险至关重要.
- 持续的研究和专业知识的发展对于优化患者的治疗结果至关重要.
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